RAPIDLab 1200

Maintenance Protocol
System
Annual Preventive Maintenance Checklist

Customer:

Address:

Fax / E-Mail:
Fax / E-Mail:

Department: Room:
Material-No.: Serial-No.:
Contract-No.: Expire date:
Order-No.: System - ID:

The instructions DPBG-A04.831.02.03.XX are required for this protocol

2 Protocol Date: Serial-No.:

Evaluating the Condition of the System

The system has no deficiencies. *
The system has slight deficiencies that have no effect on contin‐
ued operation of the system. The deficiencies should be corrected
preventively. *
The system has serious deficiencies. For safety reasons, continued
operation of the system is permitted only after successfully cor‐
recting the deficiencies.

*) For imaging systems: The result of the image quality check shows no deviation from
the reference values.

The evaluation was performed after completing all work steps.

Signature:

Date: Name:

If required by country-specific regulations:

The customer or a representative has taken note of the result of the evaluation of the
system condition.

Signature:

Date: Name:

Remarks:

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Protocol Date: Serial-No.: 3

Remarks Regarding the Protocol

The chapter numbers refer to the chapters in the instruction, which is referenced on the
cover page.
All pages have to have the serial number of the system and the date of maintenance in
the page header.
The assignment n.a. (not applicable) indicates that the checkpoint or measured value is
not used for this system.
On page 2 the completeness and the results of the maintenance work is confirmed.

Explanation of Abbreviations in the Protocol

Abbrev. Explanation Abbrev. Explanation

SI Safety Inspection PMF Preventive Maintenance, Operating
Value Check, Function Check
SIE Electrical Safety Inspection Q System Quality, Image Quality
SIM Mechanical Safety Inspec‐ QIQ Image Quality
tion
PM Preventive Maintenance QSQ System Quality Check
PMP Periodic Preventive Mainte‐ SW Software Maintenance
nance
PMA Preventive Maintenance Ad‐ CSE Customer Service Engineer
justments

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4 Protocol Date: Serial-No.:

Measuring Equipment and Measuring Instruments Used

Measuring instruments and measuring devices (phantoms, MR coils, etc.) may not be en‐
tered in the table if they have already been entered in the mobile device.

Measuring equipment / -instruments Serial No. Date used

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Protocol Date: Serial-No.: 5
OK not n.a.
OK

1 Preparing for Maintenance Procedures

1.1 Recording the Software Version
PM Recorded the software version

Value:
2 Performing Daily Maintenance
2.3 Calibrating the Barometric Sensor
PM Calibrated the barometric sensor.

4 Performing Weekly Maintenance

4.3 Checking the Level of Fill Solution
PM Checked the level of fill solution.

7 Yearly Maintenance
7.1 Replacing the Measurement Module Tubing
PM Replaced the measurement module tubing.
PM Replaced the pressure sensor bubbler grommet and the
pressure sensor bubbler.
PM Replaced the waste tubing.

7.2 Replacing the CO-ox Module Tubing

7.2.1 Replacing the CO-ox Sample Tubing
PM Replaced the measurement module to CO-ox sample cham‐
ber tubing.
7.2.2 Replacing the CO-ox Waste Tubing
PM Replaced the CO-ox Waste tubing.
7.2.2.1 Replacing the CO-ox Pump Tubing
PM Replaced the CO-ox pump tubing.

7.3 Replacing the Reagent Manifold

PM Replaced the reagent manifold.

7.5 Replacing the AutomaticQC Manifold

PM Replaced the AutomaticQC manifold.

7.6 Replacing the Air Filters

PM Replaced the air filters.

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6 Protocol Date: Serial-No.:
OK not n.a.
OK

7.7 Calibrations
7.7.1 Calibrating PO2Electronic Zero
PM Calibrated PO2 Electronic Zero.
7.7.2 Calibrating the Touchscreen
PM Calibrated the touchscreen.
7.7.3 Calibrating the Waste Detector
PM Calibrated the waste detector.
7.7.4 Calibrating the CO-ox Lamp
PM Checked the CO-ox lamp calibration.
PM Performed the CO-ox Wavelength Test.
7.7.5 Perform Manual Calibrations
PM Verified system performance.

7.8 Operational Checks

7.8.1 Verifying Printer Operation
PM Verified printer operation.
7.8.2 Creating a Setup File
PM Created a setup file for the customer.

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All documents may only be used for
rendering services on Siemens
Healthcare Products. Any document
in electronic form may be printed
once. Copy and distribution of elec‐
tronic documents and hardcopies is
prohibited. Offenders will be liable
for damages. All other rights are re‐
served.

siemens-healthineers.com

Siemens Healthineers Headquarters

Siemens Healthcare GmbH
Henkestr. 127
91052 Erlangen
Germany
Telephone: +49 9131 84-0
siemens-healthineers.com

Print No.: DPBG-A04.832.02.03.02 | Replaces: DPBG-A04.832.02.02.02

Doc. Gen. Date: 10.20 | Language: English
© Siemens Healthineers, 2016